| NPI | 1497068829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 148425) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 279116) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2018-06-19 |